caa a22 4500 445336897 CHVBK 20180317142758.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1245/s10434-010-1450-0 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1450-0 Regional Control and Morbidity After Superficial Groin Dissection in Melanoma [Elektronische Daten] [Amber Shada, Craig Slingluff Jr] Background: There is no consensus about the optimal extent of surgery for patients with melanoma metastases to inguinal nodes, and this is further complicated by variations in terminology for these dissections. In patients without clinical evidence of iliac metastases, we routinely perform a superficial groin dissection (SGD), which clears node-bearing tissue superficial to the fascia lata. We hypothesized that SGD provides regional tumor control comparable to published experience with deep groin dissection (DGD) and iliac and obturator dissection (IOD), but with less morbidity. Materials and Methods: A retrospective review of a prospectively collected database evaluated patients undergoing SGD April 1994 through May 2008. Patients with clinical evidence of iliac metastases were excluded. Clinical and pathologic data regarding recurrence and survival were evaluated. Results: We identified 53 primary SGD: 27 for clinically palpable disease, and 25 for microscopic disease. Number and percentage of positive nodes were similar between groups. Median follow-up was 39months, and 2 patients had primary recurrence in the groin (1 in each group). Two additional patients had concurrent groin and systemic recurrence. Ipsilateral groin recurrence rate prior to systemic disease was similar at 4% and 3.7% for microscopic and palpable disease, respectively. Similarly, survival was comparable between groups (82% and 73%). Toxicities were comparable to previously published data. Conclusion: SGD provides regional control rates similar to DGD and IOD, for lymph node metastases clinically limited to the groin, whether occult or clinically evident. Society of Surgical Oncology, 2010 Shada Amber Department of Surgery, University of Virginia, Charlottesville, VA, USA aut Slingluff Jr Craig Department of Surgery, University of Virginia, Charlottesville, VA, USA aut Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1453-1459 1068-9265 18:5<1453 2011 18 10434 https://doi.org/10.1245/s10434-010-1450-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1450-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shada Amber Department of Surgery, University of Virginia, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Slingluff Jr Craig Department of Surgery, University of Virginia, Charlottesville, VA, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1453-1459 1068-9265 18:5<1453 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer